Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis

Abstract

Prospective ultrasonographic study of blood flow and testicular volume in patients submitted to surgical repair of inguinal hernia without using prosthesis 1 AbstractPurpose: To evaluate the behavior of arterial circulation and testicular volume in patients submitted to conventional inguinal hernia repair without the use of a synthetic prosthesis to reinforce the posterior wall. Methods: A prospective observational clinical trial was performed on 26 male patients with unilateral inguinal hernia types I and II by the Nyhus classification, who underwent surgical correction using the modified Bassini technique. Bilateral Doppler ultrasonography was performed preoperatively, at the third and at the sixth postoperative month. The studied variables were: systolic peak velocity (SPV), diastolic peak velocity (DPV), resistance index (RI), pulsatility index (PI) and testicular volume.

Testicular torsion: its effect on autoimmunisation, pituitary–testis axis and correlation with primary gonadal dysfunction in boys

“…The length, width and thickness of the testis were measured, and then its volume was calculated (length × width × thickness in cm × 0.52). 26 The statistical relationship between total testicular volume (TTV) and testosterone concentration was determined in patients from the G4 and G5 groups. TTV means the summed volume of both testes (detorted and the contralateral) or only of the contralateral one in case of orchiectomy.…”

Ultrasound evaluation of long-term outcome in boys operated on due to testicular torsion

“…Use non-absorbent threads for fixation, recommend and do simultaneous fixation of the second testis for prophylactic purposes. When examining patients operated on due to inguinal hernia, David and Goldenberg [24] and Stula et al [28] found no significant late abnormalities of PSV, EDV, and RI in the capsular and intratesticular arteries. However, according to Çelebi et al [22] and Palabiyik et al, [26] a statistically significant increase in RI and decrease in EDV in these vessels indicates an early, transient testicular blood supply disorder after hernia surgery associated with vasospasm caused by surgical trauma.…”

“…The length, width, and thickness of the testis were measured and its volume was calculated from the ellipsoidal formula: volume = length  width  thickness in cm  0.52. [24] Peak-systolic velocity (PSV) and end-diastolic velocity (EDV) were measured in the capsular and intra-testicular arteries and vascular resistance index (RI) was calculated from equation: RI = (PSV À EDV): PSV  100. [21] For statistical comparisons, the mean testicular volume, PSV, EDV, and RI in each developmental group were calculated.…”

“…Medicine ® OPEN (EDV), and vascular resistance index (RI) in gonadal vessels upon Doppler ultrasound examination (US). [18][19][20][21][22][23][24][25][26][27][28][29][30] On the other hand, only a few publications describe changes in echostructure, vascular flow, or gonadal volume in boys with TT. [2,4,5,10,16,31] Therefore, we have undertaken research to explain the following issues.…”

“…There are many publications discussing the results of treatment of various diseases of the testicular region, including measurements of peak-systolic velocity (PSV), end-diastolic velocity (EDV), and vascular resistance index (RI) in gonadal vessels upon Doppler ultrasound examination (US) [18–30] . On the other hand, only a few publications describe changes in echostructure, vascular flow, or gonadal volume in boys with TT [2,4,5,10,16,31] …”